Organization Active NPI

Jodon Chiropractic Clinic P.C.

  • Chiropractor
  • Uniontown, PA
National Provider Identifier
1609073543
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003369L Issued in PA
Legal business name
JODON CHIROPRACTIC CLINIC P.C.
Practice address
66 Lebanon Ave Ste B
Uniontown, PA 15401-4192
Phone
(724) 439-9445
Fax
(724) 439-4021
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Thomas A Jodon, DCNPI 1992826903
Title
President
Phone
(724) 439-9445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC003369L PA Primary

Addresses

Primary practice location

66 Lebanon Ave Ste B
Uniontown, PA 15401-4192

Mailing address

66 Lebanon Ave Ste B
Uniontown, PA 15401-4192
Phone (724) 439-9445

Other identifiers 1

IdentifierTypeStateIssuer
1964723OtherPABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150909000074 PA Part B Supplier - Clinic/Group Practice 0042526998 Receives reassigned benefits from 1 practitioner
Practice locations: Uniontown, PA

National Provider Directory

National Provider Directory

Locations

66 Lebanon Ave
Ste B
Uniontown, PA 15401
Phone (724) 439-9445

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1609073543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 LEBANON AVE STE B",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154014192",
            "telephone_number": "724-439-9445",
            "fax_number": "724-439-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 LEBANON AVE STE B",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154014192",
            "telephone_number": "724-439-9445",
            "fax_number": "724-439-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODON CHIROPRACTIC CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "JODON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-439-9445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003369L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1964723",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.